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General NPI Number Information
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NPI Number | 1134365059
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Entity Type | Individual
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Provider Name | CAROL S GELB M.A., C.C.C.-A
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Gender | Female
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 242 EAST MAIN ST.
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City | SOMERVILLE
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State | NJ
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Zip | 08876
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Country | US
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Telephone | 908-704-9696
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Fax | 908-704-0097
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Provider Business Mailing Address
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Address Line | 49 LAKE SHORE DR. S.
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City | RANDOLPH
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State | NJ
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Zip | 07869
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Country | US
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Telephone | 862-432-6653
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00037200
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License Number State | NJ
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